Types and principles of special medical formula.

Ren Yuhong Reporter
Special medical formula is a new food industry in China, special medical use formula general rules (GB 29922) and special medical use formula good production norms (GB 29923) have been implemented on July 1, 2014 and January 1, 2015, respectively.it is understood that at present Abbott's imported brand "all-an-san" has been legally labeled as a special medical use formula, and began pilot sales. Special medical use formula food, belongs to the special diet food, when the target population can not eat ordinary diet or daily diet can not meet its nutritional needs, special medical use formula can be used as a nutritional supplement, play the role of nutritional support. In view of the specific metabolic status of different diseases, special medical-purpose formula products put forward special provisions on the corresponding nutrient content, which can better adapt to the nutritional needs of a particular disease state or a certain stage of the disease, and provide targeted nutritional support to patients, which is an effective way to carry out clinical nutrition support. For nutritional health food enterprises, special medical use formula has great medical value and market space. In order to give people a deeper understanding of special medical formula, Dr. Guan Yan from Abbott Company made a special presentation to you.Special medical formula is specifically formulated to meet the specific requirements of nutrients or meals in people with limited eating (coma, esophaging/obstruction, feeding, surgery), digestive and absorption disorders (gastrointestinal inflammation/surgery, liver/gall/pancreas), metabolic disorders or specific disease (tumor) status. Such products must be eaten separately or in pairs with other foods under the guidance of a doctor or clinical dietitian. According to different clinical needs and applicable populations, the General Principles of Formulated Foods for Special Medical Uses (GB 29922-2013) divide these products into three categories, namely, whole-nutrition formula, specific whole-nutrition formula and non-whole-nutrition formula.Sein-specific whole-nutrition formula Specific whole-nutrition formula is a type of food that adjusts some nutrients according to the pathophysiological changes of a particular disease on the basis of the whole-nutrition formula of the corresponding age group, and can meet the nutritional needs of the target population when consumed alone. The adaptive population generally refers to people who simply suffer from a particular disease and have no complications or other diseases. At present, there are 8 kinds of specific whole nutrition formulas with sufficient scientific evidence and long application history, including whole nutrition formula for diabetic patients, whole nutrition formula for chronic obstructive pulmonary disease (COPD) patients, whole nutrition formula for patients with kidney disease, whole nutrition formula for cancer patients, whole nutrition formula for patients with inflammatory bowel disease, whole nutrition formula for allergy allergy patients, and whole nutritional formula for patients with obesity and lipid reduction surgery. The evidence of 5 other nutrient adjustment is not sufficient, including whole nutrition formula for patients with liver disease, whole nutrition formula for patients with muscle attenuation syndrome, whole nutrition formula for patients with traumatic infection surgery and other stress states, gastrointestinal absorption disorder, whole nutrition formula for patients with pancreatitis, and whole nutrition formula for patients with abnormal fatty acid metabolism.diabetes whole nutrition formuladiabetics due to genetic and other factors caused by sugar, protein, fat, water and electrolyte a series of metabolic disorders. In view of the above, the available formula design has the following points: low raw sugar index GI s55, currently listed diabetes-specific formula more than 40 or less;Chronic Obstructive Respiratory Disease (COPD) Whole Nutritional Formula COPD is a respiratory disease in order to reduce lung carbon dioxide retention and reduce the risk of respiratory acidosis, COPD patients need appropriate nutritional support, and need to add appropriate amounts of medium chain triglycerides (MCT) to reduce the burden on the gastrointestinal tract. The available formulations are designed to increase fat levels appropriately and to add medium-chain fatty acids for rapid energy supply.Natrial disease whole nutrition formulaKidney disease patients with whole nutrition formula is suitable for adult chronic kidney disease (CKD) patients, the formula according to dialysis or non-dialysis of chronic kidney disease patients on the different needs of nutrients, by adjusting the level of protein and electrolyte to meet their nutritional needs. The available formulations are: for patients with chronic renal failure (non-dialysis), high-energy, low-protein, low-salt, low-phosphorus formulations (see Table 1);Tumor whole nutrition formula"evil disease" is a kind of fat and lean tissue loss characterized by the deterioration of sexual nutrition, mainly manifested in anorexia, carrying out weight loss, anemia, low proteinemia. In order to improve malnutrition, reduce complications, improve anti-tumor treatment compliance, improve quality of life, the formula can be used to: appropriately improve heat card density and protein levels;Inflammatory enteric disease whole nutrition medical formulaulcerative colitis is different from Crohn's disease, ulcerative colitis is mainly manifested in diarrhea, absorption disorders, carry-on weight loss, hypoproteinemia. The formulation can be used to design: more hydrolytic protein (short peptides, amino acids), in fat to improve the medium chain triglycerides (MCT) and the appropriate amount of water-soluble cellulose.Foods Protein Allergy Whole Nutritional FormulasThis formula is a continuation of the Formulas for Infant Formulas for Special Medical Uses (GB 25596-2010) for infants with food protein allergies and is suitable for food protein allergy patients over 1 year of age.The formulation of such foods shall be a food protein deep hydrolysis formula or amino acid formula, i.e., a process used to hydrolycept food proteins that cause allergic reactions into short peptides and free amino acids, or directly replace proteins with monocytoamino acids. The amino acid sources used should comply with the Food Nutritional Fortification Standard (GB 14880-2012).whole nutritional formula for recolvative epilepsy ketogenic diet is the main nutritional support way for patients with recolvative epilepsy. This class of whole-nutrition formula uses a formula of high fat, low carbohydrate and moderate protein (i.e. ketogenic diet formula) to provide nutrients while providing the necessary energy to relieve seizures. The ratio of fat to (protein and carbohydrate) in whole-nutrient formula should range from 3:1 to 5:1 in patients with re curative epilepsy. Obesity, lipid reduction surgery medical formula obesity, liposuction surgery patients due to metabolic disorders easily lead to insufficient intake of protein and micronutrients, the formulation of this specific whole nutrition formula is characterized by the provision of low energy at the same time can ensure adequate supply of protein and micronutrients (vitamins, minerals, etc.), suitable for obesity, liposuction surgery patients. Its product formulation should meet the following technical requirements: according to the instructions for the use of the product, the daily intake of energy of 600 to 1200kcal, in order to ensure the intake of protein and micronutrients, every 100kcal products should be appropriate to increase the content of certain nutrients.
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